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Organization

COUNTY OF SAN BERNARDINO

Active
Parent organization
COUNTY OF SAN BERNARDINO
Organization subpart
Yes

Provider details

NPI number
Legal business name
COUNTY OF SAN BERNARDINO
Authorized official
DR. MICHAEL A. SEQUEIRA MD (HEALTH OFFICER)
(909) 387-6218
Entity
Organization

Contact information

Practice address
16453 BEAR VALLEY RD, HESPERIA, CA 92345-1752
(760) 956-4400
Mailing address
451 E VANDERBILT WAY STE 400, SAN BERNARDINO, CA 92408-3614
(909) 387-6218
(909) 387-6228

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LAB65059F
LAB
CA
05
ZZT11488F
CA
Enumeration date
03/04/2008
Last updated
08/22/2024
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